Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10070-10170
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 6

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 4

Postponements: All the postponéements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

‘

ennedy dssassination
ecords Collection Act of

992 [44 USC 2107 Note).
assed: Nw 88326 Date:

| ‘NW 88326
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ye 7 Date:08/20/93
: . Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA .
RECORD NUMBER : 180-10070-10170

RECORDS SERIES
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :
FROM :
TO :

TITLE ;

DATE
PAGES

12/30/77
6

SUBJECTS ;
HSCA; ADMINISTRATION
WELBURN, BRENDA L.

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P
DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA

~ COMMENTS

Box 3.

[R] - ITEM IS RESTRICTED

| ‘NW 88326
Dochd:37244112 Page 2

PAYROLL AUTHORIZATION FORM

‘ (Please Use Typewriter - ) U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes

. . . ; on this form must be initialed by the
or Ballpoint Pen)’: - Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) _
Brenda L. Welburn

Employee Social Security Number

0 Appointment
MC] Salary Adjustment
O Title Change
O Termination (At close of business on effective date)
C0 Leave without pay (Beginning with effective date above and ending

close of business

Position. Title

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

1. C1 Standing Committee: Staff—O Clerical or 0 Professional.

8r . . . . * . & er :
2. 41 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 208 of SER Congress.

3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number

If applicable, Level. ___ == Step_.

| certify that this authorization is not in violation of 5 ‘U.S.C. 3110(b), prohibiting the employment of
relatives. . ae a,

de pet pee ge
; ® “5 _ emanceent Sen Lg
December 13 iS a Ro,
Date. ne a = Serine
ot (Signature of Authorizing Official)
29 a p32 po ee
LOUIS STGRES
{If appropriate, signature of Subcommittee Chairman or Ranking Minority Member). Type or printngme of Authorizing Official), =—=SOSOsCS*~C<CS~S
ae . RY PEM
“= a
(Type or print name and title of above official) - a {Title - If Member, District and State)

All appointments and salary adjustments for employees under. the House Classification Act and for Committee: em-
ployees, except those. of the Committee on Appropriations, fhe Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

_ Chairman, Committee on House Administration

APPROVED:

Office of Finance use only: -
Office Code

oo | Copy: for. Initiating Office or Committee... roe.

a CEST ETT SET OE

Neck Me de he ae led LS ale A

Or HOM eee ee

abet

(Revised: August 1, 1977) ,

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PAYROLL AUTHORIZATION FORM

(Please Use Typewriter. ( } U.S. HOUSE OF REPRESENTATIVES(_. (Any erasures, corrections, or changes

. 7 P “on this form must be initialed by the
, or Ballpoint Pen). | Washington, D.C. 20515 authorizing official.) ;

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: °

Employee Name (First-iiddie-Last) :

Effective Date

Brenda L. Welbura . 12/31/78

' Employee Social Security Number ; Type of Action

, Oo Appointment.
102-410-6872 0) Salary Adjustment
_ employing Office or Commitiee/Subcommittee C Title Change

DD Termination (At close of business on effective date)

Aggessinations CO Leave without pay (Beginning with effective date above and ending | °

close of business... == yf
. ’ Specify Date

(If type of action is an Appointment, Salary. Adjustment, or Title Change, complete appropriate information below.)

Position Title . Gross Annual Salary* |

* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

1. 1 Standing Committee: Staff—O] Clerical or £1 Professional.

2.3E) Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res $56 of 95 tB Congress.

oe oe

j

F

‘|

, :

(If Committee Employee, complete appropriate item below.) —— -

3. 0 Joint Committee. .

(If Employee of an Officer of the House, complete item below.) 7

| | Position Number___. If applicable, Level. Step____ a
| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of 4

relatives. :
Dote.__Jamnuary 200 9i? | . o

Worn (Signature of Authorizing Official)
LOUIS STOKES
Type or print name of Authorizing Official —==SOSOSCS*~S~S~S
£ETT :
CH

All appointments and salary adjustments for employees under the House Classification Act and for Committee em- *°
ployees, except those of: the Committee on Appropriations, the. Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:

Office Code

“ss. Copy for: Initiating Office or.Commiittee . | ntgw eh s

Wepoctee ee _~ oe. ee ree -

ocld:32244112 Page 4 ‘ Coe ;

W 88326 | ee ae

|

PAYROLL AUTHORIZATION FORM

W:37244112 Page 5

SL,

(Please Use Typewriter... U.S. HOUSE. OF REPRESENTATIVES - (Any erasures, corrections: wwe <3
. So, a on this: form mu itia y :
or Ballpoint Pen) 7 Washington, D.C. 20515: authorizing official.) 4
To the Clerk of the House of Representatives: of
| hereby authorize the following payroll action: - G
| J
Employee Name (First-Middle-Last).. -. . : a Effective Date: 7
Beonda Eb. Welbarn - | December 30, 1977 5
~ Employee Social Security Number. = Type of Action ce 7
. PSE SAppointment 3
LOZ—20- 5972 __ O Salary Adjustment a
Employing Office or Committee/Subcommittee _. | -Cl Title Change *- °
C] Termination (At close of business on effective date) 4
D Leave without pay (Beginning with effective date above and ending
_ Close of. business
Specify Date 7
_ .(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)- “2
Position Title Gross Annual Salary* S
Researcher $15,000 :
. “a ” i
m * if employee i is a civil service annuitant (includes U.S. House. of Representatives), the gross annual salary shown should include the-annuity received by the employee. >.
plus the salary received from the employing office. 3
- . }
(If Committee Employee, complete appropriate item below.)
7
oO Standing Committee:. Staff—L Clerical or 0 Professional. 2
Ole ;
~ _ 2H Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. pos 28S yy f-2" "Congress. Ns
3. O Joint Committee. 4
(If Employee of an Officer of the House, complete item below.)
~ Position Number_______ If applicable, Level... Step_______- §
| certify that this .authorization is not in violation of 5.U.S.C. 3110(b),: prohibiting the employment of ~
relatives. . .
Date December 30 19 vw oP ettet : 4
TE ~~ ae a
Louis Stokes
{lf appropriate, signature of Subcommittee Chairman or Ranking Minority Member) SSS aE ‘or print name of Authorizing Official) =SCsttC=<Ss*~S~S*~S~S “
. Shai cman 4
.@5 (Type or print name and fitle of.above official) SS aan Title if Member, District and State) woe ~ :
as ee 7
All appointments and. salary. adjustments for employees:.under the House Classification Act and. for Committee em- -]
_ ployees, except those of the Committee.on Appropriations, the Committee:on. the Budget, .and-the Joint Committees, must - 3
be approved by the Committee on House Administration. : :
APPROVED: nnn
Chairman, Committee on House Administration — - . %
Office of Finance use only: j
Office Code !
q
tess 8s. - Copy for Initiating Office or Committees 9 9) fr Bs 5
. re _ an 3
| NW 88326 ee Z

pee ek
q

PAYROLL AUTHORIZATION FORM BS |
~ (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES —_. (Any erasures, corrections, or changes.

or Ballpoint Pen) authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Brenda L. Welburn | ‘December 30, 1977

~ Employee Social Security Number = . Type of Action oy ae

ig&)<Appointment

0) Salary Adjustment

O Title Change ; :
oO Termination (At close of business on effective date)

Employing of ce or. Committee Subcommittee

(1 Leave without pay (Beginning with effective date above and-ending | °

Assassinations

close of business... ___»___--__-_------------- )
. Specify Date :

Alf type of: ‘action is cn Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) .

Position Title : ee Gross Annual Salary*

Researcher 7 a — $15,000

* if employee is a civil service. annuitant {includes U. S.. House of Representatives) the: gross annwal salary shown should include the e annuity received. by the employee 8

plus the salary received from the employing office. :

- (If Committee Employee, complete appropriate item below.)-

1.0. maid Committee: Staff—t): Clerical or LI. Professional. -

0 ce a a a ane eee

3. oO Joint Committee.

(If Employee of-an Officer of the-House, complete item-below,)

Position Number. If applicable; Level_ a

_:Lecertify that. this. authorization .is -not in- -violation of 5 -U.S:C.. 31 10(b) prohibiting the : employment of. wet
relatives. . .
. . of . Esco
Date Becsmber 30 00097 PF) aaead Obed
oe ; , : : ad see (Signature of Authorizing Official) - :
oo uis Stokes
(if appropriate, signature of Subcommittee Chairman. or Ranking Minority Member) | -* -., TT pe on print nome of Authorizing Official)"
oon n anne eee _ Chairman wane eee eee _
pe eb . (Type or print name and title. of above official). ; : (Title - If Member, District-and State)

All appointments and salary adjustments for employees under the. House Classification Act and for: Committee. em 2s

ployees, except. those of the Committee on Appropriations, the Committee..on.the. Budget, and the Joint Committees; must -
be approved by the Committee on House Administration. - se oo ‘

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only: -

‘ "Revised: ‘August 1% 1977

Washington D.C. 20515 _. on this form must be initialed by the -

- . Effective Date _ 7

Sere ete eee a eater. HERS San Stemi a alla tet aia eS a a cb ria el wk hatin Nee wl a a Ramanan nt adage en

y

a en a, ard Se tnt

nan eentttee wae Sata See whence

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. 4

MEMORANDUM. _

“thomas Howarth, “Budget _ ‘Officer
Beaaberhy Berning, Chief. Clerk % © oo

inn: doouaber 30, (1977

: - Ms. Brenda Welburn

Welburn as” “accepted the position of Researcher with

"the Select Committee.

| Decenber 30, 1977,

and her. starting salary, ‘$15, 000. 00.

- aboard. -

IcM:jl-

Wi:37244112 Page f ‘

Ms. Welburn with staff procedures and welcoming her

Charles. Mathews, special counser L-C “Me

‘This memorandum is to advise you that Ms. Brenda

Her effective starting date ie ons

“Your cooperation will be appreciated ‘in familiarizing |


“MEMORANDUM

TO: ALL STAFF |
RE: ‘Payroll Certification

The Regulations and Accounting Procedures ‘for Allowances and

. Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Committee's

monthly payroll certification include the relationship, if any, of

each employee to any current Member of Congress. This certification |

is signed monthly by our Chairman.

oe ~The following are the relationships to be included in | the
certification: . :

father a - nephew a . brother-in-law
mother Oe ‘niece =  . ... sister-in-law .
son co _ _ husband ©... stepfather
daughter — . wife stepmother”.
brother — _ _.. father-in-law ~ -\. stepbrother — |
sister «mother-in-law = ss Stepsister .
uncle en son-in-law... shal f-brother
~ aunt as ot daughter-tn- Taw - half-sister. a
first cousin a . . cs a 2

oT Please complete the appropriate portion below, sign “and date
_ this form, which will then become a part of your permanent personnel

file. If this status changes, you must notify. the Committee’ Ss Budget

Office immediately of the change.

GET am not related to any current (95th Congress) Nenber of Congress.

fT I am related to a current (95th Congress ) Member of Congress.
_APlease specify. )

Signature of Employee

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